Get Sel Form

The Sel Form is an essential document for requesting a check against the Staff Exclusion List maintained by the Justice Center. This guide provides a step-by-step approach to help users complete the form accurately and efficiently online.

Follow the steps to fill out the Sel Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by filling out Part 1, which includes the applicant information. Please type or print clearly in the designated fields: Last Name, First Name, Middle Initial, Social Security Number, Alien Registration Number, Job Title, Date of Birth, and Facility/Provider Name & Address.
3. In Part 2, provide the information for the Authorized Person. This includes their Name, Work Email, Facility/Provider Name, and Phone Number. Ensure that this information is also typed or printed clearly.
4. Once you have completed filling out all sections of the form, review the information for accuracy. Make any necessary corrections.
5. After verifying the details, save the changes to your document. You may download or print the completed form for your records.
6. Finally, submit the form as instructed by faxing it to the Justice Center’s Criminal Background Check unit.

Complete your documents online to ensure a smooth and efficient process.